Individual
DR. PATRICK F JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13831 NW CORNELL RD, 103, PORTLAND, OR 97229-5485
(503) 313-5186
Mailing address
3017 SW FAIRVIEW BLVD, PORTLAND, OR 97205-5801
(503) 313-5186
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1581
OR
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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